S52.122E
S52.122E: Displaced fracture of head of left radius, subsequent encounter for open fracture type I or II with routine healing
Billable / specific codeICD-10-CMPOA exemptleft
S52.122E is a billable, specific ICD-10-CM code for displaced fracture of head of left radius, subsequent encounter for open fracture type i or ii with routine healing. It is valid for submission on a claim.
Check S52.122E with the rest of the claim: free scrubber7th character "E": subsequent encounter for open fracture type I or II with routine healing
The appropriate 7th character is to be added to all codes from category S52
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture type I or II
- C
- initial encounter for open fracture type IIIA, IIIB, or IIIC
- D
- subsequent encounter for closed fracture with routine healing
- E
- subsequent encounter for open fracture type I or II with routine healing
- F
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- G
- subsequent encounter for closed fracture with delayed healing
- H
- subsequent encounter for open fracture type I or II with delayed healing
- J
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- K
- subsequent encounter for closed fracture with nonunion
- M
- subsequent encounter for open fracture type I or II with nonunion
- N
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- P
- subsequent encounter for closed fracture with malunion
- Q
- subsequent encounter for open fracture type I or II with malunion
- R
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S
- sequela
Excludes1 inherited from the categories above S52.122E
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S52.122E
Not part of this code, but both may be coded when both are present.
Written on S52.1: Fracture of upper end of radius
Other codes that can never be billed with S52.122E
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S52.122E is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S52.122
- S52.122ADisplaced fracture of head of left radius, initial encounter for closed fracture
- S52.122BDisplaced fracture of head of left radius, initial encounter for open fracture type I or II
- S52.122CDisplaced fracture of head of left radius, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S52.122DDisplaced fracture of head of left radius, subsequent encounter for closed fracture with routine healing
- S52.122FDisplaced fracture of head of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S52.122GDisplaced fracture of head of left radius, subsequent encounter for closed fracture with delayed healing
- S52.122HDisplaced fracture of head of left radius, subsequent encounter for open fracture type I or II with delayed healing
- S52.122JDisplaced fracture of head of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S52.122KDisplaced fracture of head of left radius, subsequent encounter for closed fracture with nonunion
- S52.122MDisplaced fracture of head of left radius, subsequent encounter for open fracture type I or II with nonunion
- S52.122NDisplaced fracture of head of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S52.122PDisplaced fracture of head of left radius, subsequent encounter for closed fracture with malunion
- S52.122QDisplaced fracture of head of left radius, subsequent encounter for open fracture type I or II with malunion
- S52.122RDisplaced fracture of head of left radius, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S52.122SDisplaced fracture of head of left radius, sequela